QI Program

We are committed to the provision of a well-designed and well-implemented Quality Improvement (QI) program. Our culture, systems and processes are structured around this mission to improve the health of all enrolled members.

Scope
The scope of the QI Program is comprehensive and addresses both the quality and safety of clinical care and quality of services provided to Sunflower Health Plan's members including medical, behavioral health, dental and vision care. We incorporate all demographic groups, care settings, and services in QI activities, including preventive care, emergency care, primary care, specialty care, acute care, short-term care, long-term care (depending upon Sunflower Health Plan's products), and ancillary services.

Goals & Objectives
Our primary quality improvement goal is to improve members’ health status through a variety of meaningful quality improvement activities implemented across all care settings and aimed at improving quality of care and services delivered. One way to assess the quality of the health plan and its provider network is through the Consumer Assessment of Healthcare Providers and Systems, or CAHPS. Annually, results of Sunflower’s member satisfaction survey can be found in the Sunflower Health Plan Quality Improvement Evaluation posted to this website.

As a healthcare provider, you should know about CAHPS and what the CAHPS survey is asking your patients about Physician Communication. Click on the CAHPS Overview and the CAHPS Provider Tip Sheet links below to learn what physicians can do to improve communication with our members.

Credentialing Standards
For consideration to participate in the Sunflower Health Plan network, all licensed physicians and other licensed healthcare professionals who have an independent relationship with Sunflower Health Plan must complete an application for participation and submit copies of applicable supporting documentation.

Cultural Competency Plan
Sunflower Health Plan is committed to establishing multicultural principles and practices throughout its organizational systems of services and programs. That mission is supported by facilitating the process by which Sunflower Health Plan can respond to the health care needs of all individuals, regardless of their ethnic, cultural, religious beliefs or language. Our Cultural Competency plan is reviewed and updated annually.

Participation in QI
Sunflower Health Plan requires providers and practitioners to cooperate with all Quality Improvement activities, as well as allow the use of provider and/or practitioner performance data, to ensure the success of the QI Program. The Sunflower Health Plan QI Program is outlined on the Sunflower Health Plan website http://www.sunflowerhealthplan.com and is available upon request. If you are interested in learning more about Sunflower Health Plan's QI Program, please contact Sunflower Health Plan at 1-877-644-4623 and ask to speak with the Quality Improvement Department.